As you may have heard, CMS released a preview of the 2016 Medicare Part C & D Star Ratings (see attached) to Part D plan sponsors, which included the Star Rating cut points for the new Part D Star measure—MTM Program Completion Rate for Comprehensive Medication Reviews (CMRs). As performance expectations heighten with the release of this new data, pharmacies with limited resources may begin to look at outsourcing MTM opportunities to a vendor.

Over the weekend, Viva Health experienced an adjudication error to their Tier one drugs which have a zero copay for members at preferred pharmacies.   CVS Caremark incorrectly coded the preferred network and many of Viva Health's members were required to pay a $4.00 copay in error.  This error took place from 1/1/2016 until mid-morning 1/3/2016.  The problem has now been corrected.  

McKesson has been notified of 1 product family representing 3 items that increases in price on January 1, 2016. A customer's purchase of these items will be covered by the Price Assurance Promotion for 30 days following the price assurance start date.

Trinity Health is an existing plan sponsor with CVS/caremark. Effective January 1, 2016, Trinity Health will add a new group: St. Joseph Health System Indiana. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. RXBIN: 004336 RXPCN: ADV RXGRP: RX2454 Member ID Format: 11 digits, alphanumeric Person Code : 2 digits

RockTenn is an existing CVS/caremark client. Effective January 1, 2016, RockTenn is changing its name to WestRock and is adding a new population. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. RXBIN: 004336 RXPCN: ADV RXGRP: RX7654 Member ID Format: 9 digits Person Code : not required